WARNING: If your Security Question and Favorite Color do not match what you entered at registration in Public Employees Benefits Board Info Center DO NOT CONTINUE and contact us immediately.

Email

Confirm Email

PasswordPassword not entered

Retype Password

First Name

Last Name

Birthdate (mm/dd/yyyy)

Company

WARNING:

Password Security Question

Password Security Answer

Favorite Color

Terms of Use
I agree to the terms of use.

The Washington State Health Care Authority, who oversees the Public Employees Benefits Board program, values your privacy and will protect your information. We will not sell or share your information with others.

WARNING: If your Security Question and Favorite Color do not match what you entered at registration in Public Employees Benefits Board Info Center DO NOT CONTINUE and contact us immediately.

Email

Confirm Email

PasswordPassword not entered

Retype Password

First Name

Last Name

Birthdate (mm/dd/yyyy)

Company

WARNING:

Password Security Question

Password Security Answer

Favorite Color

Terms of Use
I agree to the terms of use.

The Washington State Health Care Authority, who oversees the Public Employees Benefits Board program, values your privacy and will protect your information. We will not sell or share your information with others.